Tracy's Kenpo Karate of Shreveport, LA
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1
. Are you currently a student of Tracy's Kenpo Karate of Shreveport, LA?
Are you currently a student of Tracy's Kenpo Karate of Shreveport, LA?
Yes
No
Former Student
2
. Why do you train in the martial arts?
Why do you train in the martial arts?
Self Defense
Physical Fitness
Athletics/Tournaments
Other (please specify)
*
3
. Why did you choose kenpo?
Why did you choose kenpo?
4
. How did you find out about Tracy's Kenpo Karate of Shreveport, LA?
How did you find out about Tracy's Kenpo Karate of Shreveport, LA?
Internet
Friend
Yellow Pages
Drive-by
Other (please specify)
5
. Do you attend group classes?
Do you attend group classes?
Yes
No
If 'No,' why not?
6
. What is your goal of kenpo training?
What is your goal of kenpo training?
Black belt or higher
Self defense skills
Fitness
Weight loss
Other (please specify)
7
. Which attributes are most important to you?
First Priority
Second Priority
Third Priority
Fourth Priority
N/A
Strength
*
Which attributes are most important to you? Strength First Priority
Strength Second Priority
Strength Third Priority
Strength Fourth Priority
Strength N/A
Speed
Speed First Priority
Speed Second Priority
Speed Third Priority
Speed Fourth Priority
Speed N/A
Flexibility
Flexibility First Priority
Flexibility Second Priority
Flexibility Third Priority
Flexibility Fourth Priority
Flexibility N/A
Agility
Agility First Priority
Agility Second Priority
Agility Third Priority
Agility Fourth Priority
Agility N/A
8
. Which martial arts skills are most important to you?
First Priority
Second Priority
Third Priority
Fourth Priority
N/A
Striking
*
Which martial arts skills are most important to you? Striking First Priority
Striking Second Priority
Striking Third Priority
Striking Fourth Priority
Striking N/A
Kicking
Kicking First Priority
Kicking Second Priority
Kicking Third Priority
Kicking Fourth Priority
Kicking N/A
Grappling
Grappling First Priority
Grappling Second Priority
Grappling Third Priority
Grappling Fourth Priority
Grappling N/A
Groundfighting
Groundfighting First Priority
Groundfighting Second Priority
Groundfighting Third Priority
Groundfighting Fourth Priority
Groundfighting N/A
*
9
. Please check the appropriate boxes.
Please check the appropriate boxes.
Male
Female
Child (7-12)
Teen (13-17)
Adult (18-35)
Adult (35-over)
10
. What is your current rank?
What is your current rank?
Yellow Belt
Orange Belt
Purple Belt
Blue Belt
Green Belt
Brown Belt
Black Belt
Above Black Belt
No rank in this system
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